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UMMM # <br />First -Class Mail <br />Postage & Fees Paid <br />USPS <br />Permit No. G-10 <br />9590 9402 2543 6306 1355 78 <br />United States 1 • Sender: Please print your name, address, and ZIP+4® in this box• <br />Postal Service State of Colorado <br />Department of Natural Resources <br />vol Division of Reclamation, Mining & Safety <br />RVIGOVI1313 Sherman Street, Suite 215 <br />Denver, CO 80203 C,19$ t-010 <br />SFp eG\a�a<�o�SA, Notif <br />`�Speet <br />�� <br />'',1,,, <br />■ Complete items 1, 2, and 3. <br />■ Print your name and address on the reverse <br />so that we can return the card to you. <br />■ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Arlrir----- `"' <br />Is delivery aaaress ulllu-- ••-••• - - <br />If YES, enter delivery address below: <br />Jerod Smith <br />Colorado State <br />SuLand ite 110 <br />et <br />555 Breeze 81625 <br />Craig, C <br />❑Priority Mail Express® <br />-- <br />---� <br />3. Service Type <br />ElAdult Signature <br />Signature Restricted Delivery <br />❑ Registered MaiIT"' <br />❑ Deelliiveryered Mail Restricted <br />II I'III'I I'II I'I III II II III I III I II II II II I III III <br />❑Adult <br />❑ Certified Mail® <br />❑ Certified Mail Restricted Delivery <br />❑ Return Receipt for <br />Merchandise <br />9590 9402 2543 6306 1355 78 <br />❑ Collect on DeliveryDelivery Restricted Delivery <br />❑ Signature Confirmationm ' <br />❑ Signature Confirmation <br />I t <br />7 014 0150 0000 913 8 583 9 i1 Restricted Delivery <br />Restricted Delivery <br />over $500i <br />Domestic Return Receipt <br />PS Form 3811, July 2015 PSN 7530-02-000-9053 <br />